Individual provider Active NPI

Kali Allyce Love-Seckinger

  • Behavior Technician
  • Fort Worth, TX
National Provider Identifier
1205484235
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-25118
Practice address
2751 Green Oaks Rd
Fort Worth, TX 76116-1706
Phone
(817) 560-1139
Fax
(817) 560-7039
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-25118 Primary

Addresses

Primary practice location

2751 Green Oaks Rd
Fort Worth, TX 76116-1706

Mailing address

2751 Green Oaks Rd
Fort Worth, TX 76116-1706
Phone (817) 560-1139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1205484235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 GREEN OAKS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161706",
            "telephone_number": "817-560-1139",
            "fax_number": "817-560-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 GREEN OAKS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161706",
            "telephone_number": "817-560-1139",
            "fax_number": "817-560-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE-SECKINGER",
        "first_name": "KALI",
        "middle_name": "ALLYCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-16-25118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.